<?php
	$this->title('Edit Patient Basic Information');
?>

<h3><?=$patient->PatID?></h3>

<?=$this->form->create($patient);?>
<?=$this->form->field('PatID');?>
<?=$this->form->field('DOB', array('label' => 'Date of Birth'));?>
<?=$this->form->label('Gender');?>
<?=$this->form->select('Gender', array('M' => 'M', 'F' => 'F'));?>
<?=$this->form->label('Relationship Status');?>
<?=$this->form->select('RelationshipStatus', array(1 => 'In A Relationship', 0 => 'Single'));?>
<?=$this->form->label('Occupation Status');?>
<?=$this->form->select('OccupationStatus', array(1 => 'Employed', 0 => 'Unemployed'));?>
<?=$this->form->label('Ticks in Work Habitat');?>
<?=$this->form->select('WorkHabitat', array(0 => 'No', 1 => 'Yes'));?>
<?=$this->form->label('Ticks in Hunting Habitat');?>
<?=$this->form->select('HuntHabitat', array(0 => 'No', 1 => 'Yes'));?>
<?=$this->form->label('Ticks in Play Habitat');?>
<?=$this->form->select('PlayHabitat', array(0 => 'No', 1 => 'Yes'));?>
<?=$this->form->label('Ticks in Work Habitat');?>
<?=$this->form->select('GardenHabitat', array(0 => 'No', 1 => 'Yes'));?>
<?=$this->form->label('TickBite Caused Disease');?>
<?=$this->form->select('TickBite', array(0 => 'No', 1 => 'Yes'));?>
<?=$this->form->label('Currently Has a Rash');?>
<?=$this->form->select('Rash', array(0 => 'No', 1 => 'Yes'));?>
<?=$this->form->submit('Save');?>
<?=$this->form->end();?>